Table 3 Conceptual framework for community health worker motivators

Individual level

(+) Love of the work

(+) Commitment to public service/volunteerism

(+) Desire for knowledge to help self and family

(+) Desire to educate community

Family level

(+) Moral support

(+) Monetary support, including for supplies and transport

(+) Material support, including housing

(+) Help with work, including farm and domestic work and CHW tasks

Community level

(+) Increased respect and recognition

(+) Monetary contributions for services received

(+) Material support, including food

(+) Help with farm work

(−) Rejection of health messages

(−) Devaluing volunteer work

Organizational level

(+) Hope for future financial support or employment

(+) Monetary support, including training stipends

(+) Material support, including bicycles and job aids

(+) Training

(+) Supervision

(−) Inadequate monetary earnings

(−) Insufficient supplies and job aids

(−) CHWs interpret supervision as a sign of poor performance